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- W2431636503 abstract "The critically ill surgical patient is at high risk for the development of ICU-acquired infection. Normal mucosal defenses are breached by surgical incisions or by intravascular devices, urinary catheters, and endotracheal tubes. The integrity of the gastrointestinal epithelium is compromised by the lack of enteral nutrition and episodes of hypoperfusion, resulting in translocation of normal or disturbed enteric flora. The indigenous microbial flora, an important component of normal host defenses against invasive infection, is disrupted through the use of broad-spectrum antibiotics or by poorly understood influences associated with critical illness. Systemic immunity is altered, and multiple abnormalities of specific and nonspecific immune function can be documented. Infections acquired within the ICU are commonly caused by endogenous organisms of low intrinsic pathogenicity, and the contribution of these infections to ICU outcome is controversial. Diagnosis is established by directed investigations, focusing on surgical sites and invasive devices. Therapy is primarily physical (drainage of infected collections or removal of contaminated devices), and antimicrobial therapy should employ narrow-spectrum agents guided by the results of Gram stain and culture. The prevention of ICU-acquired infection is based on timely and definitive surgical therapy, judicious use of invasive devices and antibiotics, and early enteral feeding. Infection-control measures aimed at endogenous reservoirs show some preliminary promise for certain subsets of patients, but remain, at present, experimental." @default.
- W2431636503 created "2016-06-24" @default.
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- W2431636503 date "1992-09-01" @default.
- W2431636503 modified "2023-09-27" @default.
- W2431636503 title "NOSOCOMIAL INFECTION IN THE SURGICAL INTENSIVE CARE UNIT" @default.
- W2431636503 cites W11373691 @default.
- W2431636503 cites W1480105763 @default.
- W2431636503 cites W1539177098 @default.
- W2431636503 cites W1907372042 @default.
- W2431636503 cites W1928909115 @default.
- W2431636503 cites W1951873137 @default.
- W2431636503 cites W1964088213 @default.
- W2431636503 cites W1964517457 @default.
- W2431636503 cites W1967950437 @default.
- W2431636503 cites W1972727943 @default.
- W2431636503 cites W1975489112 @default.
- W2431636503 cites W1976425934 @default.
- W2431636503 cites W1985757242 @default.
- W2431636503 cites W1986503852 @default.
- W2431636503 cites W1986506708 @default.
- W2431636503 cites W1987401363 @default.
- W2431636503 cites W1988524285 @default.
- W2431636503 cites W1991459115 @default.
- W2431636503 cites W1993933915 @default.
- W2431636503 cites W1994917617 @default.
- W2431636503 cites W1998189427 @default.
- W2431636503 cites W1999940957 @default.
- W2431636503 cites W2004298180 @default.
- W2431636503 cites W2010891658 @default.
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- W2431636503 cites W2024631123 @default.
- W2431636503 cites W2029506989 @default.
- W2431636503 cites W2033744649 @default.
- W2431636503 cites W2033752286 @default.
- W2431636503 cites W2035873975 @default.
- W2431636503 cites W2041091557 @default.
- W2431636503 cites W2041286873 @default.
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- W2431636503 cites W2412526404 @default.
- W2431636503 cites W2417026960 @default.
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- W2431636503 doi "https://doi.org/10.1016/s0891-5520(20)30468-2" @default.
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